Nursing Focused Assessment PDF

NCM 114 REVIEWER Nursing-Focused Assessment (1-15) Settings: Hospitals, homes, long-term care facilities, senior centers, congregate living units, hospice facilities, and independent/group nursing practices. Purpose: Determine the older person’s ability to meet health- and illness-related nee...

NCM 114 REVIEWER Nursing-Focused Assessment (1-15) Settings: Hospitals, homes, long-term care facilities, senior centers, congregate living units, hospice facilities, and independent/group nursing practices. Purpose: Determine the older person’s ability to meet health- and illness-related needs. Identify: Patient strengths and limitations. Deliver: Effective and appropriate interventions. Goals: Support, promote, and restore optimal function; prevent disability and dependence. Broad Range: Application of various skills and Due to its usefulness in exploring multiple domains abilities. of health, CGA is indeed the multidisciplinary Complex Issues: Consideration of many complex geriatric tool of choice to determine the clinical and varied issues. profile, pathological risk, and residual skills to define the personalized therapeutic and care plan Scientific Knowledge: Based on a sound and to facilitate clinical decision-making for older gerontologic knowledge base. subjects.1 Practice: Repeated practice to acquire the art of When screening suggests potential frailties, the assessment. performance of CGA is the optimal approach to Recognition: Recognize responses that reflect identify risks better and consequently tailor unmet needs. treatment (Wildiers 2014).2 Availability: Many frameworks and tools Interdisciplinary available. Multidimensional Guidance: Guide the nurse in assessing older Produces problem lists and develops goal- adults. driven interventions 1. Individual, Person-Centered Approach: Provides and coordinates an integrated Focus on the individual. treatment, rehabilitation, support, and long- 2. Patient Participation: View patients as term care plan. participants in health monitoring and Domains of Health treatment. Physical medical conditions 3. Functional Ability: Emphasis on patients’ functional ability. Mental health conditions Assess potential health hazards to identify risk Functioning factors for illness and injury. Social circumstances Risk factors Environment Habits Where does the assessment occur? Lifestyle patterns Hospital: Geriatric wards, emergency Personal and family medical history departments, medical admission units, trauma and orthopedic wards Environmental conditions Community: patient’s own homes, long- term care facilities, community hospitals, Comprehensive Geriatric Assessment (16-20) residential intermediate care facilities a multidimensional, interdisciplinary diagnostic Significance process focused on determining the medical, psychological, and functional capabilities of older CGA showed significant benefits both in persons for developing a coordinated and terms of increased independence and a integrated plan for treatment and long-term follow- reduction in mortality. up (Pilotto and Martin, 2018). Jeeyan